Provider Demographics
NPI:1275987554
Name:ENGLISH, JEANNIE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JEANNIE
Middle Name:
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JEANNIE
Other - Middle Name:
Other - Last Name:WATERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:619 S 8TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4260
Mailing Address - Country:US
Mailing Address - Phone:770-227-1587
Mailing Address - Fax:770-227-1485
Practice Address - Street 1:619 S 8TH ST STE 200
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4260
Practice Address - Country:US
Practice Address - Phone:770-227-1587
Practice Address - Fax:770-227-1485
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-22
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN207073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily